Meta-Analysis of Randomized Controlled Trials Using Tool-Assisted Target Weight Adjustments in Chronic Dialysis Patients.
bioimpedance
blood volume monitoring
dialysis
fluid overload
lung ultrasound
Journal
Kidney international reports
ISSN: 2468-0249
Titre abrégé: Kidney Int Rep
Pays: United States
ID NLM: 101684752
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
07
05
2019
revised:
22
06
2019
accepted:
01
07
2019
entrez:
9
11
2019
pubmed:
9
11
2019
medline:
9
11
2019
Statut:
epublish
Résumé
Technological adjuncts have been developed to improve the accuracy of fluid removal goals in maintenance dialysis recipients. We aimed to determine whether the introduction of these tools has been shown to impact clinical outcomes. We performed a systematic review and meta-analysis of randomized controlled trials that compared fluid management guided by technological adjuncts to standard care in hemodialysis and peritoneal dialysis. The primary outcome was all-cause mortality. Secondary outcomes were cardiovascular events, hospitalizations, intradialytic hypotension, blood pressure, symptoms, antihypertensive medications. and left ventricular mass index. Of the 2940 citations retrieved, we identified a total of 12 eligible trials comprising 2406 participants. In the 10 studies ( Among maintenance dialysis recipients, technological adjuncts for fluid management did not improve survival. Trials mostly investigated the use of bioimpedance, whereas the evidence for use of other technologies remain very scarce. Future adequately powered trials should assess a broader array of promising technologies using meaningful clinical outcomes over a prolonged follow-up duration.
Identifiants
pubmed: 31701052
doi: 10.1016/j.ekir.2019.07.003
pii: S2468-0249(19)31404-4
pmc: PMC6829199
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1426-1434Informations de copyright
© 2019 International Society of Nephrology. Published by Elsevier Inc.
Références
PLoS One. 2011 Feb 24;6(2):e17148
pubmed: 21390320
Clin J Am Soc Nephrol. 2018 Mar 7;13(3):486-489
pubmed: 29437702
J Am Soc Nephrol. 2005 Jul;16(7):2162-9
pubmed: 15930095
Perit Dial Int. 2018 Mar-Apr;38(2):131-138
pubmed: 29386302
Int Urol Nephrol. 2017 Dec;49(12):2231-2245
pubmed: 28965299
Am J Kidney Dis. 2013 Jun;61(6):957-65
pubmed: 23415416
Am J Kidney Dis. 2010 Jan;55(1 Suppl 1):S1-420, A6-7
pubmed: 20082919
Int Urol Nephrol. 2017 Jan;49(1):143-153
pubmed: 27928711
Blood Purif. 2013;36(3-4):184-91
pubmed: 24496189
Kidney Int. 2017 May;91(5):1214-1223
pubmed: 28209335
Nephrol Dial Transplant. 2008 Sep;23(9):2965-71
pubmed: 18458032
JAMA. 2008 Apr 16;299(15):1830-2
pubmed: 18413879
Am J Kidney Dis. 2014 Jul;64(1):111-8
pubmed: 24583055
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
Hypertension. 2010 Mar;55(3):762-8
pubmed: 20083728
Kidney Int. 2014 Sep;86(3):489-96
pubmed: 24918155
JAMA. 1993 Jun 16;269(23):3030-3
pubmed: 8501846
Hypertension. 2010 Feb;55(2):305-11
pubmed: 20038754
Clin J Am Soc Nephrol. 2011 May;6(5):1066-72
pubmed: 21330484
Kidney Int. 2004 Sep;66(3):1212-20
pubmed: 15327420
Int Urol Nephrol. 2012 Apr;44(2):583-91
pubmed: 21688195
Clin J Am Soc Nephrol. 2016 Nov 7;11(11):2005-2011
pubmed: 27660305
Clin J Am Soc Nephrol. 2015 May 7;10(5):808-16
pubmed: 25862779
BMJ. 2017 Sep 21;358:j4008
pubmed: 28935701
J Am Soc Nephrol. 2013 Mar;24(4):639-46
pubmed: 23449536
Kidney Int Rep. 2019 Jul 12;4(10):1426-1434
pubmed: 31701052
Kidney Int. 2016 Feb;89(2):487-97
pubmed: 26466321
Nephrol Dial Transplant. 2009 May;24(5):1574-9
pubmed: 19131355
Clin J Am Soc Nephrol. 2008 Jan;3(1):153-8
pubmed: 18057304
Health Technol Assess. 2018 Jan;22(1):1-138
pubmed: 29298736
J Clin Epidemiol. 2009 Oct;62(10):1006-12
pubmed: 19631508
Int Urol Nephrol. 2016 Nov;48(11):1897-1909
pubmed: 27620902
J Clin Epidemiol. 2011 Apr;64(4):383-94
pubmed: 21195583
Am J Kidney Dis. 2014 Nov;64(5):685-95
pubmed: 25156305
Nephrol Dial Transplant. 2013 Nov;28(11):2851-9
pubmed: 23828163
Blood Purif. 2011;31(4):296-302
pubmed: 21242684